2025-10-23T10:25:48-05:00 2024-12-31 390758449 WIPFLI LLP 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2024-01-01 810392231 WHEATLAND MEMORIAL HEALTHCARE WHEA 4066324351 PO BOX 287 HARLOWTON MT 59036 DONNA NESTE CEO 4066324351 2025-09-30 1 1 SAM BRUNSON CPA P01696998 4067281800 2025-09-30 2024 2025-03-06 01:10:19Z DONNA NESTE PO BOX 287 HARLOWTON MT 59036 12243774 0 X WWW.WHEATLANDMEMORIAL.ORG X 1951 MT TO PROVIDE HEALTHCARE SERVICES TO THE SURROUNDING COMMUNITY. 8 8 80 8 0 0 460144 1240982 11525986 10760409 45605 223259 17427 19124 12049162 12243774 3600 3424 0 0 4286300 4140765 0 0 0 7087112 6616980 11377012 10761169 672150 1482605 11561889 15986478 1748969 4584953 9812920 11401525 X RESPONSIVE TO THE HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE. WHEATLAND MEMORIAL HEALTHCARE IS DEDICATED TO PROVIDING SUSTAINABLE QUALITY CARE WITH RESPECT, COMPASSION, AND TEAMWORK. 0 0 8690486 3424 10760409 AS A CRITICAL ACCESS HOSPITAL, WHEATLAND MEMORIAL HEALTHCARE PROVIDES A BROAD RANGE OF PRIMARY CARE SERVICES TO THE LOCAL COMMUNITY REGARDLESS OF ABILITY TO PAY. THE OBJECTIVE FOR OPERATING THE HOSPITAL AND ITS VARIOUS DEPARTMENTS IS TO MEET THE MISSION OF BEING RESPONSIVE TO THE COMMUNITIES WE SERVE AND PROVIDING SUSTAINABLE QUALITY HEALTH CARE WITH RESPECT, COMPASSION, AND TEAMWORK.THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE AMOUNTS OF CHARGES FOREGONE WERE $347,489, FOR THE YEAR ENDED DECEMBER 31, 2024. THE ESTIMATED COST OF PROVIDING THESE SERVICES WAS APPROXIMATELY $289,110 FOR THE YEAR ENDED DECEMBER 31, 2024, CALCULATED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR THE HOSPITAL BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CHARITY CARE TO ITS PATIENTS. 8690486 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 16 0 80 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X KRIS KESTERANNE MARIE KLOPPEL 4066573821 PO BOX 37000 BILLINGS MT 59701 X RICHARD MOE CHAIR 1.00 0.00 X X 0 0 0 JULIE BERG VICE CHAIR 0.50 0.25 X X 0 0 0 DON AMUNDSON SECRETARY/TREASURER 0.50 0.25 X X 0 0 0 ADAM JONES DIRECTOR 0.20 0.00 X 0 0 0 SUSAN MILLER DIRECTOR 0.20 0.00 X 0 0 0 BECKY SIEBENALER DIRECTOR 0.20 0.00 X 0 0 0 DEBI STELMACH DIRECTOR 0.20 0.00 X 0 0 0 PAXTON WOJTOWICK DIRECTOR 0.20 0.00 X 0 0 0 DONNA NESTE CEO 40.00 0.00 X 0 0 0 PATRICK MCCONNELL CFO 10.00 0.00 X 0 0 0 EMILY SHOUP DON 40.00 0.00 X 127252 0 27442 MANDIE SMITH LAB MANAGER 40.00 0.00 X 126135 0 14969 CARLA MAY DE GRACIA LAB TECHNICIAN 40.00 0.00 X 114785 0 12927 PATRICIA MORRIS RADIOLOGY MANAGER 40.00 0.00 X 114553 0 4689 KELLEY OLSON PT/REHAB SERVICES MANAGER 40.00 0.00 X 112304 0 14334 595029 0 74361 7 0 1 0 BILLINGS CLINIC PO BOX 30357 BILLINGS MT 59107 MANAGEMENT FINANACIAL, CLINICAL, INFORMA 1521080 WILDERNESS MEDICAL STAFFING PO BOX 30729 SPOKANE WA 99223 CONTRACT PROVIDER COVERAGE 528746 FOREFRONT HEALTHCARE 22622 HARPER AVENUE ST CLAIRE SHORES MI 48080 DIETARY SERVICES 491406 PROVIDENCE HEALTHCARE STAFFING PO BOX 637924 CINCINNATI OH 45263 CONTRACT LABOR COVERAGE 329163 WAPITI MEDICAL STAFFING 912 INDUSTRIAL DRIVE STE 102 MILBANK SD 57252 CONTRACT PROVIDER COVERAGE 281374 5 1144000 84982 12000 1240982 PATIENT SERVICE REVENUE 621110 10694413 10694413 OTHER OPERATING REVENUE 900099 65996 65996 10760409 53717 53717 19124 0 19124 19124 19124 169542 0 169542 169542 169542 12243774 10760409 0 242383 X 3424 3424 3361904 3207113 154791 101276 93251 8025 427191 343845 83346 250394 235906 14488 6211 6211 55240 55240 10401 10401 4567785 3223989 1343796 31174 4427 26747 113534 61522 52012 3254 3254 294969 216773 78196 26872 13757 13115 24974 9918 15056 13761 13761 451842 451842 66157 66157 MEDICAL & OTHER SUPPLIE 507524 469393 38131 REPAIRS AND MAINTENANCE 175738 174496 1242 OTHER ADMINISTRATIVE AD 106314 106314 LICENSES, TAXES, & FEES 69326 6837 62489 91904 53918 37986 10761169 8690486 2070683 0 1680 104565 3549428 5030079 3146540 2175341 201698 184476 5042 9674 13824573 7529032 2210580 6295541 1870038 1784552 251841 262946 325042 139304 11561889 15986478 647940 938267 2170 1970 670177 3501670 428682 143046 1748969 4584953 X 9812920 11006870 394655 9812920 11401525 11561889 15986478 1482605 -18335 124335 0 X 0 1 X 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 301330 39474 340804 255475 45855 301330 315128 -59653 255475 240638 74490 315128 237185 3453 240638 0.00000 0.63159 0.36841 0 1 1 290930 290930 3132736 2921816 210920 5459158 4607216 851942 4941749 4941749 6295541 OPERATING LEASE LIABILITIES 143046 143046 X PART IV, LINE 2B: THE HOSPITAL ACTS AS CUSTODIAN FOR FUNDS OF CERTAIN SWING BED PATIENTS. THESE FUNDS ARE INCLUDED IN ASSETS LIMITED AS TO USE AND ACCOUNTS PAYABLE IN THE FINANCIAL STATEMENTS. SWING BED PATIENT TRUST FUNDS TOTALED $2,419 AND $2,619 AT DECEMBER 31, 2024 AND 2023, RESPECTIVELY. PART V, LINE 4: GROW THE PRINCIPLE OF THE FUND SO EARNINGS CAN BE USED TO SUPPORT THE MISSION OF WHEATLAND MEMORIAL HEALTHCARE. PART X, LINE 2: THE HOSPITAL IS ORGANIZED AS A MONTANA NON-PROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE HOSPITAL IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE, IF APPLICABLE. THE HOSPITAL HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. THE HOSPITAL BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 1 1 X 1 X 1 1 1 0 0 339136 339136 0.03270 2381445 2560716 0 0.00000 2720581 2560716 339136 0.03270 16615 16615 0.00160 10992 10992 0.00110 27607 27607 0.00270 2748188 2560716 366743 0.03540 1 394230 0 2835545 2877477 -41932 X 1 1 1 1 WHEATLAND MEMORIAL HEALTHCARE PO BOX 287 HARLOWTON MT 59036 WWW.WHEATLANDMEMORIAL.ORG 13546 X X X X RURAL HEALTH CLINIC WHEATLAND MEMORIAL HEALTHCARE 1 0 0 1 X X X X X X X X X 23 1 0 1 1 X WHEATLANDMEMORIAL.ORG X 1 23 1 WHEATLANDMEMORIAL.ORG 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X WWW.WHEATLANDMEMORIAL.ORG/RESOURCES/COMPASSIONATE-CARE/ X WWW.WHEATLANDMEMORIAL.ORG/RESOURCES/COMPASSIONATE-CARE/ X WWW.WHEATLANDMEMORIAL.ORG/RESOURCES/COMPASSIONATE-CARE/ X X X X X X X 1 X 0 X X X X 1 X 0 1 WHEATLAND MEMORIAL HEALTHCARE PART V, SECTION B, LINE 5: A STEERING COMMITTEE WAS CONVENED TO ASSIST WHEATLAND MEMORIAL HEALTHCARE IN CONDUCTING CHSD. A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY (EX. PUBLIC HEALTH, ELDERLY, UNINSURED) WAS FORMED AND MET AS NEEDED DURING THE PROCESS. WHEATLAND MEMORIAL HEALTHCARE PART V, SECTION B, LINE 6B: WHEATLAND MEMORIAL HEALTHCARE PARTICIPATED IN THE COMMUNITY HEALTH SERVICES DEPARTMENT (CHSD) PROJECT ADMINISTERED BY THE MONTANA OFFICE OF RURAL HEALTH. WHEATLAND MEMORIAL HEALTHCARE PART V, SECTION B, LINE 11: GOAL 1: ENHANCE COMMUNITY ENGAGEMENT AND COLLABORATION WITH LOCAL PARTNERS. STRATEGY 1.1: ENGAGE WITH LOCAL PARTNERS TO ENHANCE OUTREACH AND RESOURCES IN WHEATLAND COUNTY.1.1.1.ENHANCE COMMUNITY KNOWLEDGE ABOUT HEALTH STATUS IN WHEATLAND COUNTY AND DETERMINE OPPORTUNITIES FOR COLLABORATION.1.1.2.ENGAGE WITH PUBLIC HEALTH TO ENHANCE TOBACCO EDUCATION AND CESSATION RESOURCES IN WHEATLAND COUNTY.1.1.3.PARTNER WITH LOCAL FOOD RESOURCES (FOOD BANK, FOOD TRUCK, HOLIDAY MEALS) TO ADDRESS FOOD INSECURITY IN WHEATLAND COUNTY.1.1.4.EXPLORE OPPORTUNITIES TO DEVELOP A FIRST AID/CPR COURSE FOR COMMUNITY IN COLLABORATION WITH LOCAL PARTNERS. GOAL 2: IMPROVE ACCESS TO CHRONIC CARE AND PREVENTION SERVICES AT WMH. STRATEGY 2.1: EXPAND SERVICE OFFERINGS AT WMH TO ADDRESS CHRONIC DISEASE IN WHEATLAND COUNTY.2.1.1.DEVELOP AND IMPLEMENT A CHRONIC CARE MANAGEMENT PROGRAM.2.1.2.CREATE AND DISSEMINATE INFORMATION AND RESOURCES AROUND STROKE PREVENTION. GOAL 3: ENHANCE ACCESS TO MENTAL HEALTH SERVICES AND RESOURCES IN WHEATLAND COUNTY. STRATEGY 3.1: IMPROVE KNOWLEDGE AND EXPAND SERVICES ON MENTAL AND BEHAVIORAL HEALTH.3.1.1.DEVELOP AND IMPLEMENT AN IBH PROGRAM AT WMH.3.1.2.COLLABORATE WITH COMMUNITY HEALTH WORKERS (CHW) TO ENHANCE ACCESS TO RESOURCES AND REFERRALS FOR PATIENTS.COORDINATE WITH CHWS TO PROVIDE EDUCATION TO WMH STAFF AND PROVIDERS TO BETTER REFER PATIENTS IN NEED.3.1.3.EXPLORE TRAINING AVAILABLE THROUGH THE MONTANA OFFICE OF RURAL HEALTH/AHEC TO ENHANCE MENTAL/BEHAVIORAL HEALTH SKILLS WITH WMH STAFF. (BEHAVIORAL HEALTH WORKFORCE EDUCATION & TRAINING - MONTANA OFFICE OF RURAL HEALTH AND AREA HEALTH EDUCATION CENTER | MONTANA STATE UNIVERSITY)3.1.4.CONTINUE TO OFFER E-AVAL TELEHEALTH RESOURCE IN EMERGENCY DEPARTMENT TO SUPPORT PATIENTS WITH MENTAL HEALTH NEEDS.3.1.5.DETERMINE FEASIBILITY OF DEVELOPING A CRISIS ROOM AT WMH TO SUPPORT PATIENTS NEEDING PSYCHIATRIC SUPPORT.WMH IS UNABLE TO ADDRESS THE FOLLOWING NEEDS AT THIS TIME. 1. "ACCESS TO A DOCTOR (MD/DO) AND "MORE PRIMARY CARE PROVIDERS" WERE THE TOP SELECTED RESPONSES FOR HOW TO IMPROVE THE COMMUNITY'S ACCESS TO HEALTHCARE. BOTH HAVE SIGNIFICANTLY INCREASED IN THE LAST THREE YEARS. EXPANDING HEALTHCARE SERVICES AND HIRING MORE MEDICAL PROFESSIONALS CAN BE COSTLY, AND THE HEALTHCARE FACILITY MAY HAVE LIMITATIONS IN TERMS OF BUDGET ALLOCATION TO IMPLEMENT THESE CHANGES EFFECTIVELY.2. 61.7% OF SURVEY RESPONDENTS FEEL THERE ARE NOT ADEQUATE AND AFFORDABLE HOUSING OPTIONS AVAILABLE. WHEATLAND MEMORIAL HEALTHCARE'S INABILITY TO ADDRESS THE CONCERNS OF SURVEY RESPONDENTS REGARDING INADEQUATE AND AFFORDABLE HOUSING OPTIONS MAY BE ATTRIBUTED TO ITS LIMITED SCOPE, LACK OF AUTHORITY, RESOURCE CONSTRAINTS, AND PRIORITIZATION OF HEALTHCARE SERVICES. 3. FOCUS GROUP PARTICIPANTS INDICATED A NEED FOR ENHANCED SENIOR SERVICES SUCH AS HOME HEALTH AND HOSPICE. WHEATLAND MEMORIAL HEALTHCARE DOES NOT HAVE SUFFICIENT RESOURCES SUCH AS FUNDING, STAFF, OR INFRASTRUCTURE TO EXPAND OR ENHANCE HOME HEALTH OR HOSPICE. WHEATLAND MEMORIAL HEALTHCARE PART V, SECTION B, LINE 16J: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND INFORMATION ON HOW TO OBTAIN AN APPLICATION OR VIEW THE ENTIRE POLICY IS POSTED IN THE EMERGENCY ROOM, WAITING ROOMS, AND ADMISSION AREAS OF THE HOSPITAL. A SUMMARY IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE. THE FINANCIAL ASSISTANCE POLICY IS ALSO PROVIDED WITH THE INITIAL COLLECTION EFFORT NOTICES. WHEATLAND MEMORIAL HEALTHCARE PART V, SECTION B, LINE 24: ALL INDIVIDUALS ELIGIBLE UNDER THE HOSPITAL FINANCIAL ASSISTANCE POLICY ARE PROVIDED A DISCOUNT FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THE FINANCIAL ASSISTANCE POLICY DOES NOT APPLY TO ELECTIVE PROCEDURES. THEREFORE, FAP-ELIGIBLE PATIENTS WITHOUT INSURANCE MAY BE CHARGED GROSS CHARGES ON ELECTIVE PROCEDURES. HOWEVER, PATIENT PAYMENTS ARE ELIGIBLE FOR OTHER DISCOUNTS FROM GROSS CHARGES. PART I, LINE 7: CHARITY CARE WAS RECORDED AT COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. PART I, LINE 7G: THE COST FOR SUBSIDIZED HEALTH SERVICES ON LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 394,230. PART III, LINE 2: PATIENT ACCOUNTS ARE NOT CLASSIFIED AS BAD DEBT UNTIL EVERY EFFORT IS MADE TO COLLECT ON THE ACCOUNT, INSURANCE IS FILED, AND ALL PAYMENTS ARE APPLIED INCLUDING CONTRACTUAL ALLOWANCES AND DISCOUNTS. ANY PAYMENT ON AN ACCOUNT THAT WAS WRITTEN OFF TO BAD DEBT REDUCES BAD DEBT EXPENSE IN THE CURRENT YEAR. BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS. PART III, LINE 4: BAD DEBT EXPENSE IS DESCRIBED IN FOOTNOTE 1 BEGINNING ON PAGE 13 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: WHEATLAND MEMORIAL HEALTHCARE IS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL PROVIDES SERVICES TO PATIENTS BECAUSE ACCESS TO HEALTHCARE AND INDIVIDUAL'S HEALTH IS IMPORTANT TO THE HOSPITAL. THEREFORE, THE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT.TOTAL REVENUE RECEIVED FROM MEDICARE IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT. BOTH TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. PART III, LINE 9B: THE HOSPITAL IS AWARE OF PATIENTS WHO ARE IN THE PROCESS OF APPLYING FOR FINANCIAL ASSISTANCE AND THESE ACCOUNTS ARE NOT SENT TO COLLECTIONS. IF A PATIENT DOES NOT COOPERATE OR IS NOT IN COMPLIANCE WITH THEIR PAYMENT ARRANGEMENT THE ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY.COLLECTION EFFORTS CEASE WHILE A PATIENT IS UNDER REVIEW FOR CHARITY CARE OR WHILE A PATIENT IS IN COMPLIANCE WITH A PAYMENT ARRANGEMENT. AFTER FINANCIAL ASSISTANCE IS AWARDED, ANY PERSONAL PORTION DUE FOLLOWS THE SAME COLLECTION PROCEDURE AS OTHER ACCOUNTS. BEFORE ACCOUNTS ARE TURNED OVER TO COLLECTIONS, PRESUMPTIVE ELEGIBILITY FOR FINANCIAL ASSISTANCE IS PERFORMED AND IF ALL OR A PORTION IS DEEMED TO QUALIFY THAT AMOUNT IS ADJUSTED AS FINANCIAL ASSISTANCE AND NOT TURNED TO COLLECTIONS. PART VI, LINE 2: WHEATLAND MEMORIAL HEALTHCARE ASSESSES THE NEEDS OF THE COMMUNITY THROUGH PATIENT SURVEYS, GENERAL PUBLIC SURVEYS, AND COMMUNITY MEETINGS.A STEERING COMMITTEE WAS CONVENED TO ASSIST WHEATLAND MEMORIAL HEALTHCARE IN CONDUCTING ITS CHNA. THE HOSPITAL USED A DIVERSE GROUP OF COMMUNITY MEMBERS REPRESENTING VARIOUS ORGANIZATIONS AND POPULATIONS WITHIN THE COMMUNITY. THE 2023 NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY IS POSTED TO THE HOSPITAL WEBSITE. PART VI, LINE 3: WHEATLAND MEMORIAL HEALTHCARE TRIES TO DETERMINE IF PATIENTS QUALIFY OR POSSIBLY QUALIFY FOR ANY FINANCIAL ASSISTANCE EITHER AT REGISTRATION OR DISCHARGE. WE NOTIFY PATIENTS OF OUR PROGRAMS BY MAKING AVAILABLE FINANCIAL ASSISTANCE BROCHURES IN WAITING ROOMS, EMERGENCY ROOM AREAS, AND OTHER PATIENT ACCESS AREAS AND LOCAL NEWSPAPER ADS. FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN ALL CORRESPONDENCE REGARDING PATIENT BILLS. WE ALSO HAVE STAFF AVAILABLE TO ASSIST IN APPLICATIONS FOR STATE AID. PART VI, LINE 4: WHEATLAND MEMORIAL HEALTHCARE (WMH) IS A 25-BED CRITICAL ACCESS HOSPITAL AND RURAL HEALTH CLINIC LOCATED IN HARLOWTON, MONTANA. HARLOWTON IS A RANCHING COMMUNITY IN CENTRAL MONTANA WITH APPROXIMATELY 1.6 PEOPLE PER SQUARE MILE. THE POPULATION OF HARLOWTON WAS 945 AND WHEATLAND COUNTY WAS 2,069. WMH SERVES RESIDENTS OF WHEATLAND, GOLDEN VALLEY, JUDITH BASIN AND PORTIONS OF SWEET GRASS AND MEAGHER COUNTIES. THE MOST COMMON INDUSTRIES ARE MANAGEMENT, FARMING, FISHING, AND CONSTRUCTION. THE NEAREST TERTIARY CARE FACILITY IS 93 MILES SOUTH EAST OF HARLOWTON, IN BILLINGS, MT. THE NEXT CLOSEST TERTIARY CARE FACILITY IS 130 MILES NORTH WEST OF HARLOWTON, IN GREAT FALLS, MT. LEWISTOWN, WHICH IS 60 MILES NORTH FROM WMH, HAS A SECONDARY CARE FACILITY.THE MEDIAN HOUSEHOLD INCOME IN WHEATLAND COUNTY WAS $48,272, AND INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LEVEL WAS 22.7%. PART VI, LINE 5: OUR BOARD IS COMPRISED OF MEMBERS WITHIN OUR LOCAL AND OUTLYING SERVICE AREA. THESE MEMBERS ARE NOT EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION. AT THIS TIME THE ORGANIZATION HAS LACKED EXCESS FUNDS FROM OPERATIONS BUT HAS PURSUED GRANTS AGGRESSIVELY IN ORDER TO REPLACE AGING EQUIPMENT AND ESTABLISH COMMUNITY HEALTH PROGRAMS THAT WILL ALLOW US TO CONTINUE SERVING THE HEALTH CARE NEEDS OF OUR COMMUNITY DURING THESE CHALLENGING ECONOMIC TIMES. OUR EMERGENCY ROOM IS AVAILABLE 24/7 AND SERVES ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. WE EXTEND PRIVILEGES TO MEDICAL STAFF THAT ARE LICENSED AND QUALIFIED.THE HOSPITAL PROVIDES SPACE FOR IMMUNIZATION CLINICS TO ENSURE CHILDREN IN THE COMMUNITY RECEIVE RECOMMENDED IMMUNIZATIONS. THE HOSPITAL HAS ESTABLISHED A STRONG WORKING RELATIONSHIP WITH THE CHAPLAINS OF SEVERAL CHURCHES WHO PROVIDE SUPPORT TO PATIENTS AND FAMILIES OF THE FACILITY AND PARTICIPATE IN CARE PLANNING AND REGULAR MEETINGS. THE CEO REGULARLY ATTENDS COUNTY COMMISSIONER MEETINGS TO PROVIDE THE COMMUNITY WITH AN UPDATE OF THE EVENTS GOING ON AT THE HOSPITAL. BOARD MEMBERS ALSO FREQUENTLY ATTEND THESE COMMISSIONER MEETINGS. THE HOSPITAL AND ITS ATTACHED RURAL HEALTH CLINIC IS THE SOLE PROVIDER OF HEALTH CARE SERVICES WITHIN THE COMMUNITY. 0 0 0 0 0 0 0 0 0 EMILY SHOUP DON 127252 0 0 0 0 0 0 0 27442 0 154694 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 WHEATLAND MEMORIAL HEALTHCARE HAS CONTRACTED WITH BILLINGS CLINIC TO PROVIDE MANAGEMENT SERVICES. THE CEO AND CFO POSITIONS AT WHEATLAND MEMORIAL HEALTHCARE ARE CONSIDERED COMMON LAW EMPLOYEES OF BILLINGS CLINIC. BILLINGS CLINIC MAY, IN ITS DISCRETION AT ANY TIME, REMOVE AND REPLACE THE CEO AND CFO. THE CEO HAS THE RESPONSIBILITY OF SUPERVISING MANAGEMENT AND ADMINISTRATING THE OPERATION OF WHEATLAND MEMORIAL HEALTHCARE. THE CFO HAS THE RESPONSIBILITY OF MANAGING THE ORGANIZATION'S FINANCES. THE AMOUNTS BELOW WERE PAID TO EACH INDIVIDUAL BASED ON AN HOURLY RATE. DONNA NESTE, CEO SALARY $148,013 EMPLOYER CONTRIBUTIONS TO MEDICAL/DENTAL $7,556 OTHER BENEFITS $357 PATRICK MCCONNELL, CFO SALARY $17,230 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE COMPLETED FORM 990 IS PROVIDED TO THE BOARD MEMBERS BEFORE IT IS FILED. THE CEO, CFO AND ACCOUNTING MANAGER REVIEW THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED UPON HIRE AND AT LEAST ANNUALLY THEREAFTER, TO DISCLOSE ANY CONFLICTS OR POTENTIAL CONFLICTS AND SIGN A CONFLICT OF INTEREST POLICY. A CONFLICT OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF WHEATLAND MEMORIAL ALSO INVOLVE THE OBTAINING OF AN IMPROPER GAIN OR ADVANTAGE, OR ADVERSE EFFECT ON THE INTERESTS OF WHEATLAND MEMORIAL. THE CEO REVIEWS THE STATEMENTS AND INVESTIGATES ALL DISCLOSURES OF POSSIBLE CONFLICTS OF INTEREST. THE CEO PREPARES A REPORT FOR THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR FINAL REVIEW AND INVESTIGATION OF POTENTIAL CONFLICTS OF INTEREST AND PRESENTATION OF ITS FINDINGS TO THE WHEATLAND MEMORIAL BOARD OF DIRECTORS ON AN ANNUAL BASIS. UPON DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST, BOARD MEMBERS WILL REFRAIN FROM DELIBERATING ON THE MATTER UNTIL ALL RELEVANT AND PERTINENT FACTS AND CIRCUMSTANCES HAVE BEEN DISCLOSED AND ANY POTENTIAL CONFLICT HAS BEEN AVOIDED OR RESOLVED. THE INDIVIDUAL WITH A CONFLICT IS NOT ALLOWED TO BE PRESENT WHEN THE MATTER IS DISCUSSED OR VOTED UPON. ALL MATTERS OF DISCUSSION ARE DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15A THE CEO AND CFO ARE COMMON LAW EMPLOYEES OF BILLINGS CLINIC. BILLINGS CLINIC DETERMINES COMPENSATION BASED ON METHODS THEY HAVE ESTABLISHED. THE BOARD OF DIRECTORS APPROVES THE MANAGEMENT RELATIONSHIP WITH BILLINGS CLINIC. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE FORM 990. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,067,963. MANAGEMENT AND GENERAL EXPENSES 1,135,299. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,203,262. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 156,026. MANAGEMENT AND GENERAL EXPENSES 142,682. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 298,708. RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 65,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,815. WHEATLAND MEMORIAL HEALTHCARE FOUNDATION PO BOX 287 HARLOWTON MT 59036 454035841 SUPPORT WHEATLAND MEMORIAL HEALTHCARE MT 501(C)(3) LINE 12A, I WHEATLAND MEMORIAL HEALTHCARE 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 WHEATLAND MEMORIAL HEALTHCARE FOUNDATION C 1144000 CASH